AHRQ Patient Safety Network

The Collection > Medication Errors/Preventable Adverse Drug Events

PATIENT SAFETY PRIMERS
Medication Errors

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Medication Errors/Preventable Adverse Drug Events

•Ordering/Prescribing Errors (182)

•Transcription Errors (25)

•Dispensing Errors (46)

•Administration Errors (178)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Africa (3)

•Asia (26)

•Australia and New Zealand (38)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (906)

•Legislation/Regulation (10)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (126)

•Press Release/Announcement (18)

•Special or Theme Issue (10)

•Tools/Toolkit (17)

•Web Resource (11)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (532)

•Active Errors (299)

•Latent Errors (89)

•Near Miss (30)

Approach to Improving Safety

•Quality Improvement Strategies (256)

•Legal and Policy Approaches (61)

•Error Reporting and Analysis (345)

•Communication Improvement (273)

•Human Factors Engineering (186)

•Teamwork (26)

•Specialization of Care (101)

•Logistical Approaches (73)

•Culture of Safety (66)

•Technologic Approaches (392)

•Education and Training (159)

Clinical Areas

•Allied Health Services (3)

•Medicine (756)

•Nursing (118)

•Pharmacy (467)

Target Audience

•Health Care Providers (898)

•Health Care Executives and Administrators (840)

•Non-Health Care Professionals (352)

•Patients (73)

Setting of Care

•Hospitals (724)

•Psychiatric Facilities (7)

•Residential Facilities (49)

•Ambulatory Care (185)

•Outpatient Surgery (6)

•Patient Transport (9)

1 - 20 of 1158

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STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

STUDY

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46:484-494.

STUDY

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.

Alassaad A, Gillespie U, Bertilsson M, Melhus H, Hammarlund-Udenaes M. J Eval Clin Pract. 2013;19:185-191.

STUDY

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, Bermejo-Vicedo T. BMJ Qual Saf. 2013;22:42-52.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.

Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Reported medication errors after introducing an electronic medication management system.

Redley B, Botti M. J Clin Nurs. 2013;22:579-589.

STUDY

Errors in medication history at hospital admission: prevalence and predicting factors.

Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.

COMMENTARY

Medication reconciliation in the hospital: what, why, where, when, who and how?

Fernandes O, Shojania KG. Healthc Q. 2012;15:42-49.

STUDY

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.

STUDY

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

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